| NPI | 1174559363 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVELIZ VALENTIN Office Manager 508-799-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: MA 40011) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: MA 216617) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2016-11-08 |